Method of and system for thermally augmented wound care oxygenation

ABSTRACT

An oxygenation and temperature thermal therapy and oxygenation treatment pad with a plurality of air chambers is disclosed for treatment of skin wound tissues. The air chambers are filled and released by a valve assembly that may be separate from or integrated within the blanket. The thermal therapy and oxygenation treatment pad includes a fluid bladder for delivering hot and/or cold therapy to a patient in conjunction with oxygenation. The temperature therapy blanket may also include an air bladder for providing compression. Oxygenation is provided subsequent to initial heating in order to promote oxygen absorption by the wound tissues prior to the cooling thereof which facilitates pulling oxygen into the wound tissues. This Abstract is provided to comply with rules requiring an Abstract that allows a searcher or other reader to quickly ascertain subject matter of the technical disclosure. This Abstract is submitted with the understanding that it will not be used to interpret or limit the scope or meaning of the claims.  37  CFR  1.72 (b).

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application is a Continuation of U.S. patent applicationSer. No. 11/801,662, now U.S. Pat. No. 8,100,956, filed May 9, 2007.U.S. patent application Ser. No. 11/801,662 claims priority from, andincorporates the entire disclosure of, U.S. Provisional PatentApplication No. 60/798,982 filed May 9, 2006 and U.S. Provisional PatentApplication No. 60/852,803 filed Oct. 19, 2006.

The present application is a Continuation-In-Part of U.S. patentapplication Ser. No. 12/730,060, filed Mar. 23, 2010. U.S. patentapplication Ser. No. 12/730,060 is a division of U.S. patent applicationSer. No. 10/894,369, filed Jul. 19, 2004, now abandoned. U.S. patentapplication Ser. No. 10/894,369 claims priority from, and incorporatesby reference the entire disclosure of, U.S. Provisional PatentApplication No. 60/550,658, filed Mar. 5, 2004, U.S. Provisional PatentApplication No. 60/588,453, filed Jul. 16, 2004, and U.S. ProvisionalPatent Application No. 60/488,709, filed Jul. 18, 2003. This applicationis also related to, and hereby incorporates by reference, commonlyassigned U.S. Pat. Nos. 5,097,829 and 5,989,285.

BACKGROUND OF THE INVENTION

1. Technical Field

The present invention relates to a thermally augmented oxygenationsystem for wound care and method, and more particularly, but not by wayof limitation, to a programmable system adapted for oxygenation of awound area in conjunction with high thermal contrast modalities,specifically adapted to facilitate the healing process.

2. Description of the Related Art

An important aspect of planned patient treatment is wound care. Medicalfacilities are constantly in need of advanced technology for thecleaning and treatment of skin wounds. The larger the skin wound, themore serious the issues are of wound closure and infection prevention.The rapidity of the migration over the wound of epithelial andsubcutaneous tissue adjacent the wound is thus critical. Devices havebeen developed and/or technically described which address certainaspects of such wound healing. For example, U.S. Pat. No. 6,695,823 B1describes a wound therapy device that facilitates wound closure. Avacuum pump is taught for collecting fluids from the wound. WO 93/09727discloses a solution for wound drainage by utilizing negative pressureover the wound to promote the above references migration of epithelialand subcutaneous tissue over the wound.

Another aspect of wound care is the use of oxygen. The use of oxygen forthe treatment of skin wounds has been determined to be very beneficialin certain medical instances. The advantages are multitudinous andinclude rapidity in healing. For this reason, systems have been designedfor supplying high concentration of oxygen to wound sites to facilitatethe healing process. For example, U.S. Pat. No. 5,578,022 teaches anoxygen producing bandage and method. One of the benefits cited in U.S.Pat. No. 5,578,022 is the ability to modulate a supply of concentratedhyperbaric oxygen to skin wounds. Although oxygen is beneficial indirect application of predetermined dosages to skin wounds, too muchoxygen can be problematic. Oxygen applied to a wound site can induce thegrowth of blood vessels for stimulating the growth of new skin. Too muchoxygen, however, can lead to toxic effects and the cessation of healingof the wound. It would be an advantage, therefore, to maximize theeffectiveness of oxygen applied to a wound area by enhancing theabsorption rate of oxygen into the skin and tissue fluids. By enhancingthe absorption rate of the oxygen in the wound, less exposure time andconcomitantly fewer toxic side effects to the endothelial cellssurrounding the wound, such as devasculation, occurs. It would be afurther advantage, therefore, to utilize existing medical treatmentmodalities directed toward other aspects of patient therapy to augmentoxygenation for wound care.

It has been accepted for many years by medical care providers thatpatient thermal therapy can be very advantageous for certain injuriesand/or post operative recovery. For this reason, thermal therapy hasbeen advanced and many reliable and efficient systems exist today whichprovide localized thermal therapy to patients in both pre and postsurgical environments.

Addressing first thermal therapy systems, several devices have beenengineered to deliver temperature controlled fluids through pads orconvective thermal blankets to achieve the above purpose. Typically,these devices have a heating or a cooling element, a source for thefluid, a pump for forcing the fluid through the pad or blanket, and athermal interface between the patient and the temperature controlledfluid. U.S. Pat. No. 4,884,304 to Elkins is, for example, directed to amattress cover device which contains liquid flow channels which providethe selective heating or cooling by conduction.

Devices have also been developed for simply providing heat or cooling toa person in bed. Electric blankets containing electric heating elementshave been used, for example, to provide heat to people in bed. Likewise,cooling blankets, such as the blanket disclosed in U.S. Pat. No.4,660,388 to Greene, have also been proposed. Greene discloses a coolingcover having an inflatable pad with plenum chambers at opposite endsthereof. Cool air is generated in a separate unit and directed to thepad and out to a number of apertures on the underside of the pad andagainst the body of the person using the cover.

A disposable heating or cooling blanket is disclosed in U.S. Pat. No.5,125,238 to Ragan et al., which has three layers of flexible sheeting.Two of the layers form an air chamber while a third layer includes acomfortable layer for contact with the patient. Conditioned air isdirected toward the covered person through a multiplicity of orifices inthe bottom layers of the blanket.

A temperature controlled blanket and bedding assembly is also disclosedin U.S. Pat. No. 5,989,285 to DeVilbiss et al., assigned to the assigneeof the present invention. The disclosure of DeVilbiss discloses atemperature controlled blanket and temperature control bedding systemhaving the provision of both recirculating temperature controlled fluidand temperature controlled gas to enhance performance for convectivelyheating or cooling a patient. Counter-flow or co-flow heat exchangingprinciples between the temperature controlled liquid and the temperaturecontrolled gas achieve temperature uniformity across different sectionsof the blanket and the bedding system. Drapes and the temperaturecontrolled bedding system provided temperature controlled envelopearound a person using the bedding system. In one embodiment of thebedding system, the air portion of the bedding system is provided foruse with a patient that supplies the fluid portion of the overallbedding system. In another embodiment of the bedding system, the fluidportion of the bedding system is provided for use with a patient bedwhich supplies the air portion of the overall bedding system.

U.S. Pat. No. 5,097,829 to Quisenberry describes an improved temperaturecontrolled fluid circulating system for automatically cooling atemperature controlled fluid in a thermal blanket with a thermoelectriccooling device having a cold side and a hot side when powered byelectricity. The temperature controlled fluid is cooled by the cold sideof the cooling device and pumped through, to, and from the blanketthrough first and second conduits.

Finally, co-pending U.S. patent application Ser. No. 10/894,369 teachesa sequential compression blanket for use with heating or coolingtherapy. In this particular embodiment, the utilization of thermaltherapy with sequential compression in a programmable format whichfurther has the option of the introduction of oxygenation through aperforated membrane disposed between the patient and the thermal therapypad is taught. These advances in the medical industry have beenrecognized as advantageous to both the medical care providers as well asthe patients. The precise manner of oxygenation application is, however,still in need of improvement.

The present invention provides improvements in wound care by providingmultiple wound healing approaches such as negative pressure over thewound as well as oxygenation in conjunction with thermal therapy. Bycombining an oxygenation modality that is utilized in conjunction withthermal therapy and/or sequential compression in association therewith,the benefits of both negative wound pressure and oxygenation treatmentscan be enhanced.

BRIEF SUMMARY OF THE INVENTION

The present invention relates to a method of and apparatus foroxygenation and thermal therapy for wound care. In one aspect, anembodiment of the present invention comprises a compression blanket foruse with heating or cooling therapy having an oxygenation regiondisposed therebeneath providing limited contact to the underlying skinarea which may comprise a wound. In this manner, the wound area mayreceive localized oxygenation and thermal therapy treatment modality.

In another aspect, one embodiment of the invention includes anoxygenation and compression therapy blanket comprising a plurality ofgas, such as air, chambers for receiving a gas to cause compression, avalve assembly internal to the compression therapy blanket fordelivering gas to each of a plurality of air chambers (which in oneembodiment is in a predetermined pattern), an inlet port for deliveringair from a control unit to the valve assemblies, and a plurality ofconnections for delivering gas from the valve assembly to the pluralityof gas/air chambers as well as oxygenation gas. The plurality of gas/airchambers may comprise four to seven chambers and an electrical signalconnection may be provided for transmitting data related to thepredetermined pattern to the valve assembly. One embodiment includes thepredetermined pattern comprising sequential inflation of the pluralityof chambers to produce series of compression movements peripherallytoward a given area of a patient, while another embodiment includesinflating two of the plurality of gas/air chambers simultaneously. Theoxygenation is provided via a separate oxygenation gas line which isadapted for filling a localized area on a patient's skin in conjunctionwith hot and cold therapy.

In yet another aspect, the above described compression therapy blanketfurther comprises a heat transfer fluid bladder for providingtemperature therapy to a portion of a patient to be used in conjunctionwith oxygenation. The bladder includes a fluid inlet port for deliveringheat transfer fluid from the control unit to the heat transfer fluidbladder and a fluid outlet port for delivering heat transfer fluid fromthe heat transfer fluid bladder to the control unit. The heat transferfluid bladder delivers thermal treatment to a patient in the form ofheat or cold or alternating heat and cold in conjunction with theoxygenation treatment.

Yet a further aspect includes one embodiment of the invention comprisinga system for passing heat transfer fluid between a control unit and ablanket in conjunction with oxygenation. The system comprises areservoir for housing heat transfer fluid for utilization by the system,a flow network in flow communication with the reservoir and including ajunction having at least three branches, wherein a first branch receivesheat transfer fluid from the reservoir, a second branch receives theheat transfer fluid returning from the blanket, and a third branch fordelivering the heat transfer fluid to the blanket, and a pump forcreating a low pressure site at the third branch, wherein the lowpressure site causes the heat transfer fluid from the second branch tobe pulled into the third branch. In one embodiment of the invention, thethree-point junction is generally configured as an inverted Y from afluid flow standpoint. In this particular embodiment, the oxygenationgas would be delivered in a separate line.

In yet another aspect, one embodiment of the invention includes a systemfor wound cleaning and drainage by negative pressure and thenoxygenation of the cleaned and drained wound site in conjunction withthermal therapy comprising a thermal therapy blanket and system forproviding heat transfer fluid thereto. The thermal therapy blanketincludes at least one spacing member facilitating a separation of alower surface of the blanket relative to a skin area of the patient forfacilitating the receipt of oxygenation gas therein for the treatment ofa wound area therebeneath, which wound area is also thermally exposed tothe blanket for first heating and opening pores of the skin to exposecapillaries and saturate and facilitate the saturation of the skin areawith oxygen prior to the cooling thereof which helps close the area andpull oxygen into the underlying tissue. Additionally, one aspect of theinvention includes a method of cleaning dead tissue from, and subsequentoxygenation of a wound area in conjunction with thermal therapy whereinthermal therapy-oxygenation treatment pads are held in place by anadhesive border and securing means while oxygenation gasses are fedthereto. In one embodiment, a 93% concentration of oxygen gas isprovided at a one to two atmospheric pressure for treatment of the woundsite. In one embodiment of the invention, the wound site is warmedthrough a fluid path on a back side of the treatment pad to five degreesto six degrees above the body temperature to open the pores and exposethe capillaries and saturate the area with oxygen for approximatelyfifteen to thirty minutes.

In another embodiment, the above-described method includes continuingoxygenation at one to two atmospheres while lowering the treatment padfluid to thirty degrees to forty degrees below body temperature to helpclose the wound area and pull oxygen into the tissues for a period oftime on the order between thirty to forth-five minutes. In anotherembodiment, the process is repeated periodically with the wound beingcleaned of dead tissue by negative pressure, or the like, before eachtreatment.

BRIEF DESCRIPTION OF THE DRAWINGS

A more complete understanding of the method and apparatus of the presentinvention may be obtained by reference to the following DetailedDescription when taken in conjunction with the accompanying Drawingswherein:

FIG. 1 is an illustration of the oxygenation and thermal therapy systemaccording to an embodiment of the present invention showing both anoxygenation and thermal therapy treatment pad and a second woundevacuation treatment pad;

FIG. 2 is a block diagram according to an embodiment of the presentinvention;

FIG. 3 is a flow diagram listing a process according to an embodiment ofthe present invention;

FIG. 4 is a diagram, schematically illustrating in a side elevationalcross sectional view a thermal therapy and oxygenation treatment padaccording to an embodiment of the present invention;

FIG. 5 is a diagram, schematically illustrating in a side elevationalcross sectional view a thermal therapy and oxygenation treatment padaccording to an alternate embodiment of the present invention whereincompression may be provided;

FIG. 6 is a diagrammatic (photographic) illustration of a thermaltherapy and oxygenation treatment pad according to an embodiment of thepresent invention; and

FIG. 7 is a diagrammatic illustration of a wound evacuation padaccording to an embodiment of the present invention.

DETAILED DESCRIPTION OF THE INVENTION

Referring first FIG. 1, there is shown an illustrations of oneembodiment of an oxygenation and thermal therapy system 10 in accordancewith the principles of the present invention. The system 10 comprises acontrol unit 12, a thermal therapy and oxygenation treatment pad 14 anda plurality of tubular members 16 (to be defined below) connecting thecontrol unit 12 to the thermal therapy and oxygenation treatment pad 14.The system 10 further includes a wound evacuation unit 28 and a woundevacuation pad 58 (shown in FIG. 7). The wound evacuation unit 28 isconnected to the control unit 12 while the wound evacuation pad 58 isconnected to the wound evacuation unit 28. A system for providing bothoxygenation therapy in conjunction with certain aspects of thermaltherapy and fully describing the thermal operation and sequencecompression aspects of one embodiment of the present invention is setforth and shown in parent U.S. patent application Ser. No. 10/894,369which is incorporated herein in its entirety by reference. For thatreason, thermal detail relative to the interaction between the controlunit 12 and the thermal therapy and oxygenation treatment pad 14relative to the thermal fluid flow and pressurization for sequencedcompression therapy is not further defined herein. What is defined, isthe added aspect of the creation of a localized oxygenation chamberdefined by a space disposed beneath an underneath side of the thermalblanket and above the patient's skin. With such a system, oxygen richgas may be concentrated in an area immediately beneath the thermaltherapy and oxygenation treatment pad 14 and substantially containedtherebeneath to aid wound healing. The space between the patient's skinand the underneath side of the thermal therapy and oxygenation treatmentpad may be defined by attachment edges and other spacer elements whichseparate the underneath side of the thermal therapy and oxygenationtreatment pad 14 from the user's skin or wound site. In this manner, alocalized treatment chamber for oxygenation treatment is defined andthermally controlled for maximum efficiency in oxygenation treatment asdescribed below.

Still referring to FIG. 1, the use of the thermal therapy andoxygenation treatment pad 14 to the wound site of the patient may be, inone embodiment, subsequent to the cleaning of the wound area of deadtissue by the wound evacuation pad 58 and the utilization of an adhesiveborder (in one embodiment) to secure the thermal therapy and oxygenationtreatment pad 14 thereover. In one embodiment, Velcro cross straps maybe utilized. A 93% concentration of oxygen has been suggested to beadvantageous when applied to a wound site as described herein with oneor two atmospheres of pressure. In accordance with one aspect of thepresent invention, an oxygen supply/or an oxygen generator may beutilized within the control unit 12 or may be separate therefrom. InFIG. 1, an oxygen supply and/or generator concentrator 20 is shown inassociation with the control unit 12 by dotted line 22 and anoxygenation gas line 24 shown extending between the control unit 12 andthe thermal therapy and oxygenation treatment pad 14 as a diagrammaticillustration of one embodiment of the principles of the presentinvention.

Referring now to FIG. 2, there is a block diagram illustrating the flowof oxygenation gas as a transfer fluid according to an embodiment of thepresent invention. As set forth in the block diagram, a controlled unitdisplay 30 is provided in conjunction with an analog/digital processingunit 32. The process is referred to herein as “oxytherm” which is theterm currently being utilized by the Applicant of the present inventionthrough its assignee in preparation for commercial disclosure of certainones of the methods, systems and principles of the present invention.

Still referring to FIG. 2, sensors 34 are utilized in conjunction withthe digital process unit 32 for control of heat transfer fluids to thethermal therapy and oxygenation treatment pad 14 as well as the oxygendelivery thereto. The oxygen generator concentrator 20 is connected to apower supply 36, which power supply 36, also powers the analog/digitalprocess unit 32. The oxygen generated from the concentrator 20 is thenpumped through compression pump 38 before delivery to the thermaltherapy and oxygenation treatment pad 14. It should be noted that anoxygen supply may also be used.

Referring still to FIG. 2, a water alcohol reservoir 40 is shown influid flow communication with fluid pump 42 and TEC computer cooler 44.The TEC computer cooler 44 is controlled by the digital process unit 32and a TEC supply 46 is likewise shown. Adjacent the TEC supply 46 isillustrated a diagrammatical schematic of a treatment chamber 50 definedbeneath the thermal therapy and oxygenation treatment pad 14 wherein thetreatment chamber 50 is thermally exposed to the thermal fluid by thefluid path therein illustrated. The adhesive attachment edges 119therein shown likewise define the treatment chamber space 50 between thethermal therapy and oxygenation treatment pad 14 and the wound site toallow for the flow of the oxygenation gas therein.

Referring still to FIG. 2, there is shown a vacuum pump 54 powered bythe power supply 36. A collection chamber 56 is connected to the vacuumpump 54 and to a wound evacuation pad 58. The wound evacuation pad 58 isused prior to the thermal therapy and oxygenation treatment pad 14, inone embodiment of the present invention, for cleaning the wound area inpreparation for oxygenation in conjunction with thermal therapy inaccordance with the present invention.

Referring now to FIG. 3, there is shown a flow diagram listing a process100 according to an embodiment of the present invention wherein thewound area is first cleaned of dead tissue and the thermal therapy andoxygenation treatment pad 14 applied in step 102. The thermal therapyand oxygenation treatment pad 14 is held in position by an adhesiveborder and, in one embodiment, elastic Velcro cross straps. In step 104,a oxygenation gas comprising on the order of 93% concentration of oxygengas is delivered to the wound site with one to two atmosphericpressures. The numbers are set forth and shown for purposes of referencein that additional studies may be underway relative to the efficacy ofother oxygenation concentrations as well as pressures in accordance withthe principles of the present invention. The present description ispresented as an illustration of the best mode and understanding of thepresent invention as Applicant is currently aware. Consistent therewith,however, is the concept of, and teachings for, thermal treatment of thewound site in conjunction with the oxygenation and/or cleaning anddraining as set forth herein. In accordance therewith, the site is thuswarmed through the fluid path herein shown on the back side of thethermal therapy and oxygenation treatment pad 14 up to 5 to 6 degreesabove the body temperature of the patient in step 106. This warmingallows the pore of the patient's skin to open and expose capillariestherein. The capillaries of the skin are then saturated with oxygen. Inone period of time herein described, a period of 15 to 30 minutes isrecommended. Oxygenation is continued at one to two atmospheres and thethermal therapy and oxygenation treatment pad fluid is lowered to 30 to40 degrees below body temperatures to help close the pores of the areaand pull oxygen into the underlying tissue in step 108. This step thenproceeds for approximately for 30 to 45 minutes in the currentembodiment of the present invention. The process is then repeatedperiodically with the would site cleaned of dead tissue before eachtreatment in step 110.

FIG. 4 is a side elevational, cross sectional view of one embodiment ofthe thermal therapy and oxygenation treatment pad 14 of the presentinvention. In this embodiment, the thermal therapy and oxygenationtreatment pad 14 is constructed within a single bladder configuration114 where thermal fluid flow may be provided. The tubes 16 are coupledto the treatment pad 14, which is fabricated with a circuitous flow paththerein for thermal fluid flow. This path may be tubular in form, orsimply a path within pad 14 defined by flow channels. What is shown is apath 117 within thermal therapy and oxygenation treatment pad 14. Thepath 117 is shown with tubular ends 117A, for example, in order toillustrate that thermal fluid flows therein for thermal treatment of theunderlying wound area. Again, the path 117 may not be of tubular formand may have a variety of shapes and fabrication techniques well know inthe art of thermal pads.

Still referring to FIG. 4, a chamber 50 is defined thereby and isseparated from the patient's skin by adhesive strips 119 having athickness (by way of example only) on the order of ⅛ inch. The thermaltherapy and oxygenation treatment pad 14 (not drawn to scale) exposesthe wound to heat and then cold via path 117 while oxygen is injectedinto chamber 50. The injection of oxygen in conjunction with theaforesaid heating and cooling via path 117 helps treat the wound and anystasis zones therein where tissue swelling has restricted the flow ofblood to the wound tissues. It is well known that without sufficientblood flow the epithelial and subcutaneous tissues referenced abovereceive less oxygen and are less able to migrate over the wound topromote healing. By utilizing the methods and apparatus of the presentinvention, oxygenation is enhanced and the problems associated with suchconditions mitigated.

FIG. 5 illustrates an alternative embodiment of the thermal therapy andoxygenation treatment pad of FIG. 4. A dual bladder configuration 214 isthus provided where air may be applied to bladder 207 atop the thermalflow tubes 117, also represented by the “tubular” ends 117A shown forpurposes of example only. In this manner, select compression therapy maybe afforded in conjunction with the thermal and oxygenation treatment.In that regard, air inlet tube 201 is illustrated in connection tobladder 207. Both FIGS. 4 and 5 show oxygen tube 24 for feeding oxygento chamber 50, with tube 203 allowing thermal fluid into conduits 117with tube 205 allowing thermal fluid return to control unit 12 of FIG.1.

Referring now to FIG. 6, there is shown a labeled photographicrepresentation of the thermal therapy and oxygenation treatment pad ofFIGS. 1 and 4. The tubular connections 16 for thermal fluid flow and thetube 24 for oxygen flow is clearly seen. The adhesive border 119 islikewise shown, as further outlined for clarity in the photograph of theprototype shown herein.

Referring now to FIG. 7, there is shown a diagrammatic illustration of awound evacuation treatment pad 58. The wound evacuation treatment pad 58also contains an array of removal ports 57 that may be used to removeany undesirable fluid from the wound area. The wound evacuationtreatment pad 58 further contains a non-tissue adhesive surface 80. Anadhesive circumference 82 is defined around the periphery of the woundevacuation treatment pad 58 by pads 119 described above to allow for aseal to be formed around the wound area. A similar adhesive may also beused with the treatment pad 14. The seal, in conjunction with theremoval ports 57, allows for a negative pressure to form over the woundarea, which facilitates the removal of the undesirable tissues from thewound area. The device also includes a control unit 12, which contains avacuum pump (not shown). The vacuum pump is connected to the woundevacuation treatment pad 58 via a vacuum line 55. A collection chamber56 is positioned inline between the vacuum pump and the wound evacuationtreatment pad 58 to intercept and store any undesirable fluids or thelike that are removed from the wound area as a result of applying anegative pressure to the wound area with the vacuum pump. This aspect ofone embodiment of the invention is also set forth and shown in U.S.Provisional Patent Application Ser. No. 60/852,803, referenced above, towhich priority is claimed.

The previous Detailed Description is of embodiment(s) of the invention.The scope of the invention should not necessarily be limited by thisDescription. The scope of the invention is instead defined by thefollowing claims and the equivalents thereof.

What is claimed is:
 1. A system for oxygenation and thermal therapyutilizing a treatment pad for placement over a wound area of a patientcomprising: a fluid bladder formed in the treatment pad for passage of athermal fluid therethrough, the fluid bladder having a top layer and abottom layer; a plurality of connections for dispersing the thermalfluid throughout the fluid bladder, the plurality of connectionsconnecting the top layer to the bottom layer; at least one partition fordirecting flow of the thermal fluid throughout the fluid bladder andforming a flow path; a controller for providing select flows of thethermal fluid in a high thermal contrast modality to a patient; aplurality of edges depending from the fluid bladder defining anoxygenation chamber between a lower region of the treatment pad and thewound area for oxygenation therapy of the wound area; and an oxygensupply for the oxygenation chamber.
 2. The system of claim 1, whereinthe treatment pad provides heating therapy to the patient prior tooxygenation.
 3. The system of claim 1, wherein the treatment padprovides heating therapy to the patient during oxygenation.
 4. Thesystem of claim 1, wherein the treatment pad provides cooling therapy tothe patient after a select period of time in which oxygenation hasoccurred at the wound area.
 5. The system of claim 1, wherein thetreatment pad provides cooling therapy to the patient during oxygenationof the wound area.
 6. The system of claim 1, wherein the treatment padprovides contrast therapy to the patient in conjunction withoxygenation, wherein the wound area is heated before oxygenation andcooled thereafter.
 7. The system of claim 1, wherein the fluid bladderincludes: an inlet port for receiving the thermal fluid from thecontroller; and an outlet port for returning the thermal fluid to thecontroller.
 8. The system of claim 1, further comprising: an air bladderfor providing compression therapy, wherein the air bladder is disposedabove the fluid bladder and comprises an upper layer and a lower layer;and an air inlet for providing air from the controller to the airbladder.
 9. The system of claim 8, wherein the air bladder substantiallyoverlaps the fluid bladder.
 10. The system of claim 8, wherein the lowerlayer of the air bladder is the top layer of the fluid bladder.
 11. Thesystem of claim 8, wherein a plurality of edges of the air bladder aresealed to the plurality of edges of the fluid bladder.
 12. The system ofclaim 8, wherein the air bladder presses the fluid bladder against aportion of the patient.
 13. The system of claim 1, wherein thecontroller supplies the thermal fluid and oxygen to the treatment paddisposed on the wound area.
 14. The system of claim 13, wherein thethermal fluid comprises at least one of distilled water andmonopropylene glycol.
 15. The system of claim 14, wherein the thermalfluid comprises a ratio of 15% monopropylene glycol and 85% distilledwater.
 16. The system of claim 14, wherein the monopropylene glycolreduces bacteria build-up.
 17. The system of claim 1, wherein the oxygensupply is an oxygen generator.
 18. The system of claim 17, wherein theoxygen generator supplies oxygen at approximately 93% concentration. 19.The system of claim 17, wherein the wound area is cleaned of dead tissuebefore each oxygenation treatment.
 20. A system for oxygenation andthermal therapy utilizing a treatment pad for placement over a woundarea of a patient, the system comprising: an oxygen supply; a thermalfluid supply; an oxygenation chamber defined by a plurality of edgesdepending from the treatment pad and a space disposed beneath anunderneath side of the treatment pad and above the wound area; a firstplurality of connections for dispersing a thermal fluid from the thermalfluid supply throughout the treatment pad for thermal therapy of thewound area; and a second plurality of connections for providing oxygenfrom the oxygen supply to the oxygenation chamber for oxygenationtherapy of the wound area.